Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $87.10 / $138.04	Facility		$47.86	$87.10	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $95.50	Professional		$33.11	$54.95	$95.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $42.66 / $54.95 / $67.61	Professional	25	$42.66	$54.95	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $79.43	Professional		$41.69	$57.54	$79.43
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $41.69 / $58.88 / $64.57	Professional	25	$41.69	$58.88	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $120.23 / $245.47	Facility		$95.50	$120.23	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $117.49	Professional		$50.12	$85.11	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $144.54	Professional		$61.66	$100.00	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $57.54 / $107.15	Facility		$39.81	$57.54	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.79 / $398.11	Professional		$45.71	$70.79	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $120.23	Professional		$61.66	$87.10	$120.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $112.20 / $141.25	Professional		$30.90	$112.20	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $134.90 / $173.78	Facility		$125.89	$134.90	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $107.15	Professional		$33.11	$54.95	$107.15